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A member asked:
Wb-band 41 positive, dfm showed spirochetes and gemmas.syphilis-negative.can it be lyme with only band 41 positive?got inactive demyelination lessions
3 doctors weighed in across 2 answers
Possibly- more tests: A 41 band alone could signify lyme but is not enough to make the diagnosis. Unfortunately most labs don't do an adequate WB test- it's crucial to test the highly specific 31 & 34 bands & most labs don't. Ignenex does the best test. See http://www.Ilads.Org/lyme_disease/about_lyme.Html consider the controversial culture from advanced laboratory services: http://www.Medscape.Com/viewarticle/778482.
Answered 6/10/2014
5.1k views
Confusing...: Confusing info. If WB means HIV test, p41 band alone does not indicate HIV infection. Not sure what "dfm" means, maybe direct fluorescent antibody? If pathology report with FA showed gumma (not "gemma") and spirochetes, almost certainly it is syphilis; some tertiary syphilis with gumma can have negative syphilis blood test. Lyme seems unlikely. Probably unrelated to demyelenation problem.
Answered 11/2/2018
255 views
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